Evidence map›Paper›PMID 40193822›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

High-Dose Methotrexate in Children and Young Adults With ALL and Lymphoblastic Lymphoma: Results of the Randomized Phase III Study UKALL 2011.

Amy A Kirkwood, Nicholas Goulden, John Moppett, Sujith Samarasinghe, Rachael Hough, Clare Rowntree, Sarah Lawson, Pam Kearns, Anna Lawson, Ajay Vora

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Revisiting novel genomic classifiers in the era of immunotherapy for pediatric B-ALL.Hematology. American Society of Hematology. Education Program · 2025
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Amy A KirkwoodCR UK & UCL Cancer Trials Centre, UCL Cancer Institute, UCL, London.
Nicholas GouldenGreat Ormond Street Hospital, London.
John MoppettBristol Children's Hospital, Bristol.ORCID 0000-0003-1844-3531
Sujith SamarasingheGreat Ormond Street Hospital, London.ORCID 0000-0002-8042-9960
Rachael HoughUniversity College Hospital, London.
Clare RowntreeUniversity Hospital of Wales, Cardiff.
Sarah LawsonBirmingham Children's Hospital, Birmingham.
Pam KearnsCancer Research Cancer Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-2756-5813
Anna LawsonCancer Research Cancer Trials Unit, University of Birmingham, Birmingham, United Kingdom.
Ajay VoraGreat Ormond Street Hospital, London.ORCID 0000-0002-2167-4368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUKALL 2011 randomly assigned children and young adults (younger than 25 years) with ALL or lymphoblastic lymphoma. The aims were to reduce induction toxicity (randomization 1 [R1]), CNS relapse risk (randomization 2 [R2]-interim maintenance [R2IM]), and maintenance morbidity (R2pulses).

methodsR1 compared induction dexamethasone (dex) for 28 days (6 mg/m

resultsOf 2,750 eligible patients registered between April 2012 and December 2018, 1,902 were randomly assigned to R1 and 1,570 to R2. Median follow-up is 99 (R1) and 87 months (R2). There were no differences in steroid-related toxicity between short and standard dex (23.8%

conclusionShorter duration of induction dex does not reduce steroid-related toxicity and HDM does not improve CNSR within a UKALL treatment backbone. Omission of pulses is noninferior for BMR.

Indexed as

Antimetabolites, AntineoplasticMethotrexatePrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultChildChild, PreschoolDexamethasoneFemaleHumansInfantMaleYoung AdultAntimetabolites, AntineoplasticDexamethasoneMethotrexate

Identifiers

PMID40193822
PMCPMC12084015

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.